This government document is issued by Division of Insurance (DOI) for use in Massachusetts
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https://www.mass.gov/doc/2006-c-guidance-when-filing-policy-forms-with-the-massachusetts-division-of-insurance-to/download?_gl=1*mgfjwt*_ga*MTY2NTg2Nzk5LjE3MzE2NzIwODE.*_ga_MCLPEGW7WM*MTczMTY3MjA5NS4xLjEuMTczMTY3NzkzNS4wLjAuMA..&_ga=2.69641814.790269867.1731672081-166586799.1731672081